Physical Therapy billing
Precision billing for the practice that gets patients moving again.
PT billing demands a level of specialization general billers can't provide — therapy caps, functional limitation reporting, timed vs. untimed codes and constant scrutiny. We ensure your services are accurately coded, compliantly documented and fully reimbursed.
Services we provide for physical therapy practices
Specialty-trained coders and billers who know your workflows, payers and compliance requirements inside out.
- Initial evaluation & re-evaluation billing
- Therapeutic exercise & neuromuscular re-education billing
- Manual therapy & modality billing
- Medicare therapy cap & KX modifier management
- Plan-of-care certification & recertification billing
- Prior authorization management for PT services
- Workers' compensation & auto liability PT billing
- Telehealth physical therapy billing
Codes we manage every day
A representative sample of the CPT, ICD-10 and modifier expertise our team applies to physical therapy claims.
Common CPT codes
- 97161–97163PT evaluations (low/moderate/high)
- 97164PT re-evaluation
- 97110Therapeutic exercise
- 97112Neuromuscular re-education
- 97140Manual therapy techniques
- 97530Therapeutic activities
- 97035Ultrasound therapy
Modifiers we manage
- GPServices under a PT plan of care
- KXMedical necessity beyond therapy cap
- 59Distinct procedural service
- CQOutpatient PT services (PTA)
- 95Synchronous telemedicine
Common billing challenges we solve
- Medicare therapy cap exceeded without KX modifier documentation
- Denials for vague or missing functional goals
- Incorrect timed vs. untimed billing causing underpayment
- Missing plan-of-care physician certification
- PTA/OTA differential payment (CQ/CO) errors
Payers we work with
- Medicare & Medicare Advantage
- Medicaid & Managed Medicaid
- UnitedHealthcare, Aetna, Cigna, BCBS, Humana
- Workers' compensation carriers
- Auto & personal injury liability plans
Why physical therapy practices choose Core MBS
Dedicated PT billing specialists, not generalist billers
Full Medicare compliance — therapy cap, KX, FLR and POC
Maximize reimbursement for every timed and untimed code
Audit-ready documentation standards protect your practice
Let's get your revenue cycle healthy.
Send us a note for a free, no-obligation billing review — we'll show you exactly where revenue is leaking and how we'd fix it.
- Corembs5@gmail.com
- corembs.com
- 30 N Gould St, Ste N, Sheridan, WY 82801